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Overall, more than 2. Pathways leading to autoantibody-induced pathology greatly differ among different diseases, and autoantibodies directed against the same antigen, depending on the targeted epitope, can have diverse effects. To foster knowledge in autoantibody-induced pathology and to encourage development of urgently needed novel therapeutic strategies, we here categorized autoantibodies according to their effects.

According to our algorithm, autoantibodies can be classified into the following categories: 1 mimic receptor stimulation, 2 blocking of neural transmission, 3 induction of altered signaling, triggering uncontrolled 4 microthrombosis, 5 cell lysis, 6 neutrophil activation, and 7 induction of inflammation. These mechanisms in relation to disease, as well as principles of autoantibody generation and detection, are reviewed herein. Over the past decades, a sharp increase in autoimmune diseases has been noted worldwide 1 , 2.

The cumulative prevalence of autoimmune diseases caused by autoantibodies is well over 2. Despite developing insights into the pathogenesis of autoantibody-mediated autoimmune diseases reviewed herein , systemic immunosuppression, i. Consequently, patients suffer from a high, and partially treatment-associated, morbidity and face an increased mortality 4.